Что положить в аптечку от кашля и когда начинать его лечить?

{"article":{"error":null,"payload":{"id":251,"slug":"chto-polozhit-v-aptechku-ot-kashlya-i-kogda-nachin","title":"Что положить в аптечку от кашля и когда начинать его лечить?","description":"Кашель — один из самых дискомфортных симптомов сезонных болезней. Он бывает сухим и продуктивным, но долго ждать, когда из первого он перейдет во второй, как оказалось, не стоит: нужно сразу его лечить. Почему? — «Все аптеки» разобрались.","href":"/news/chto-polozhit-v-aptechku-ot-kashlya-i-kogda-nachin/","published":{"display":"24 января 2022","rfc3339":"2022-01-24T07:53:34+00:00"},"image":{"isTouch":{"retina":"https://vseapteki.ru/cropping/thumbnails/250/214/phoneMedium_retina/","default":"https://vseapteki.ru/cropping/thumbnails/250/214/phoneMedium_default/"},"isFromTablet":{"retina":null,"default":null}},"modified":{"display":"24 января 2022, 07:53:38","rfc3339":"2022-01-24T07:53:38.026706+00:00"},"content":"\u003cp\u003eМинусовые температуры, снег, холодный ветер и дефицит солнечного света — настоящие испытания для здоровья. А еще зима — середина сезона острых респираторных инфекций (ОРИ) и гриппа, который длится с осени до весны.\u003c/p\u003e\n\u003cp\u003eЧтобы болезнь не застала врасплох, можно заранее закупиться всем, что поможет, на случай, если у вас заложит нос, появится недомогание и начнется кашель. Но с кашлем не всё так просто. Особенно если ждать, что сухой кашель сменится кашлем с явным выделением мокроты. А ждать нельзя.\u003c/p\u003e\n\u003ch3\u003eОткуда берется кашель, почему не стоит ждать, что сухой кашель станет продуктивным, а главное — чем и когда лечить кашель, чтобы не опоздать?\u003c/h3\u003e\n\u003cp class=\"article-picture\" data-name=\"contentimage\" data-id=\"274\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/253/274/phoneMedium_retina/\" title=\"\"\u003e\u003c/p\u003e\n\u003ch2\u003eПочему возникает кашель при ОРИ и почему он может быть опасен?\u003c/h2\u003e\n\u003cp\u003e\u003cstrong\u003eКашель — это защитная реакция, направленная на очищение дыхательных путей.\u003c/strong\u003e При ОРИ он возникает из-за того, что вирусы или бактерии поражают слизистую дыхательных путей. В результате возникает воспаление и образуется вязкий секрет — мокрота.\u003c/p\u003e\n\u003cp\u003eВ начале ОРИ кашель обычно малопродуктивный (мокроты мало, она не откашливается) и ощущается как сухой — когда кашляете, чувствуете, будто не можете откашляться. Поэтому можно подумать, что мокроты нет, а значит откашливать пока нечего и нужно просто перетерпеть. Это не так: мокрота есть.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eМокрота образуется с первых дней ОРИ. \u003c/strong\u003eВ начале заболевания ее еще мало, она густая, трудно отделяется при кашле и дополнительно раздражает рецепторы в дыхательных путях, заставляя кашлять еще и еще. Затем мокроты становится больше, и она легче откашливается, но долго ждать того, что мокрота выйдет из дыхательных путей сама, может быть опасно. Дело в том, что мокрота — плодотворная среда для размножения бактерий, которые могут стать причиной осложнений ОРИ (например, бронхита или пневмонии).\u003c/p\u003e\n\u003cp\u003eПоэтому важно помочь организму вывести мокроту как можно быстрее.\u003c/p\u003e\n\u003ch2\u003eКак бороться с сухим кашлем в начале ОРИ?\u003c/h2\u003e\n\u003cp\u003eДля того чтобы вывести мокроту, назначают муколитики — они разжижают мокроту, выводят ее и очищают бронхи [7].\u003c/p\u003e\n\u003cp\u003eМуколитиков много, но из них важно выбрать проверенное средство. Хороший выбор — препарат \u003cstrong\u003eс действующим веществом «ацетилцистеин»\u003c/strong\u003e: он обладает муколитическим эффектом (облегчает выведение мокроты из бронхов), подходит взрослым и детям и начинает действовать уже с первого дня применения.\u003c/p\u003e\n\u003ch2\u003eКакой препарат с ацетилцистеином выбрать?\u003c/h2\u003e\n\u003cp\u003eЕсли у вас простуда и вы кашляете прямо сейчас или хотите запастись на случай, если заболеете, подойдет \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e («запатентованное средство с названием „АЦЦ® Актив“») — это муколитическое средство, действующее вещество которого — тот самый ацетилцистеин [2]. Его покупают чаще других средств для лечения кашля [6], а еще его часто рекомендуют специалисты [5].\u003c/p\u003e\n\u003cp class=\"article-picture\" data-name=\"contentimage\" data-id=\"275\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/253/275/phoneMedium_retina/\" title=\"\"\u003e\u003c/p\u003e\n\u003ch3\u003eМедицинские аргументы за АЦЦ Актив:\u003c/h3\u003e\n\u003cul\u003e\u003cli\u003e\u003cp\u003eВо-первых, \u003cstrong\u003eдействующее вещество \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e ацетилцистеин\u003c/strong\u003e, в отличие от препаратов, содержащих амброксол, карбоцистеин, растительных и противокашлевых препаратов, \u003cstrong\u003eдействует прямо на мокроту, снижает ее вязкость и облегчает выведение\u003c/strong\u003e. Ацетилцистеин — муколитик, который способствует ускорению выздоровления [4].\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eВо-вторых, \u003cstrong\u003eдействующее вещество \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e ацетилцистетин начинает действовать уже с первого дня применения.\u003c/strong\u003e\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eВ-третьих, \u003cstrong\u003eдействующее вещество \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e помимо муколитического действия обладает еще антиоксидантным и противовоспалительным\u003c/strong\u003e [1] — это способствует восстановлению защитных свойств слизистой дыхательных путей.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eКроме того, \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e применяется не только при ОРИ с кашлем, но и при остром и хроническом риносинусите.\u003c/p\u003e\u003c/li\u003e\u003c/ul\u003e\n\u003ch2\u003eКогда применяют АЦЦ Актив?\u003c/h2\u003e\n\u003cp\u003e\u003cstrong\u003e\u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e можно принимать с первых дней ОРИ\u003c/strong\u003e, когда кашель только появился и кажется сухим. Его могут назначить как взрослым, так и детям, если нужно вывести мокроту при продуктивном кашле (когда мокрота уже вовсю чувствуется). \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e также применяют для лечения сухого и малопродуктивного кашля на начальных этапах ОРВИ, для выведения вязкого назального секрета при синуситах (как острых, так и хронических) и риносинуситах, а еще в схемах лечения среднего отита.\u003c/p\u003e\n\u003cp\u003eА ещё ацетилцистеин — действующее вещество \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e — применяют для улучшения отхождения мокроты при острых заболеваниях нижних дыхательных путей — бронхите, бронхиолите и пневмонии различной этиологии.\u003c/p\u003e\n\u003ch2\u003eКак принимать АЦЦ Актив?\u003c/h2\u003e\n\u003cp\u003eОчень удобно — для этого не понадобится даже вода.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eСпособ применения. \u003c/strong\u003eВысыпьте порошок из саше (в одном саше 600 миллиграмм — это суточная доза ацетилцистеина) в рот и проглотите: \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e быстро смешивается со слюной и чаще всего не оставляет ощущения першения и сухости в горле.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eСколько принимать. \u003c/strong\u003eПри кратковременной простуде курс приема \u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e — 5-7 дней [2]. На это хватит одной упаковки (1 упаковка — 10 саше).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eИтого: \u003c/strong\u003eудобно пользоваться, действует с первого дня применения [3], с высоким профилем безопасности (можно лечить кашель у детей с 2-х лет с первого дня кашля).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eВажно: \u003c/strong\u003e\u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\"\u003eАЦЦ Актив\u003c/a\u003e подойдет, даже если вы не можете определить тип кашля на фоне ОРВИ — сухой (малопродуктивный: такое бывает на ранних этапах ОРВИ — кашель с мокротой может «маскироваться» под сухой) или влажный.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/761/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"761\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eАЦЦ Актив в аптеках поблизости\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/152815-atsts_aktiv/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eУ препарата есть противопоказания. Перед тем, как принимать его, проконсультируйтесь со специалистом и внимательно прочтите инструкцию.\u003c/strong\u003e\u003c/em\u003e\u003c/p\u003e\n\u003ch3\u003eКомментарии и пояснения:\u003c/h3\u003e\n\u003col\u003e\u003cli\u003e\u003cp\u003eГеппе Н.А., Малахов А.Б. Спорные и нерешенные вопросы в терапии кашля у детей в амбулаторной практике. Педиатрия (прил. к журн. Consilium Medicum). 2017:4.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eИз инструкции по применению препарата АЦЦ Актив.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eКахновский И.М. и др. // Клиническая фармакология и терапия. 1997, No 6.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eЛокшина Э.Э. и др. // Вопросы практической педиатрии. 2011, Т. 6, No1.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eПо данным отчета выписки специалистов компании Proxima Research за Q1-Q2’2020. Среди фармацевтов, терапевтов, пульмонологов, педиатров.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eПо результатам исследования компании IPSOS_ACC_Tracking от 25 мая 2020.\u003c/p\u003e\u003c/li\u003e\u003cli\u003e\u003cp\u003eСимонова О.И. Простые ответы на сложные вопросы о муколитиках для детей // Вопросы современной педиатрии. 2015, Т. 14, No. 4.\u003c/p\u003e\u003c/li\u003e\u003c/ol\u003e\n\u003ch3\u003eЧитайте также:\u003c/h3\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/7-veschej-dlya-shkolnoj-aptechki-polozhite-ih-rebe/\" target=\"_blank\"\u003e\u003cstrong\u003e7 вещей для школьной аптечки. Положите их ребенку, даже если он учится дистанционно\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/kakie-vitaminyi-i-mineralyi-pit-zimoj/\" target=\"_blank\"\u003e\u003cstrong\u003eКакие витамины пить зимой?\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/lekarstva-dlya-holodov-14-sredstv-kotoryie-dolzhny/\" target=\"_blank\"\u003e\u003cstrong\u003eЛекарства для холодов: 14 средств, которые должны быть в аптечке зимой\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eЧитайте больше наших материалов о здоровье\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/news/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eПерейти к списку статей\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e"},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basket":{"error":null,"payload":{"empty":true,"hasUnavailable":false,"products":[],"recentlyAdded":[],"info":{"countPharmacy":0,"deliveryTime":"","prescription":false,"checkout":false,"price":{"subtotal":"0","total":"0"},"quantity":{"position":0,"pack":0}},"delivery":{"method_of_obtaining":"PICKUP","address":null,"latitude":null,"longitude":null,"cost":null,"service_fee":null,"time":null,"store_id":null,"store_name":null,"chain_id":null,"checkout_url":null,"is_available":false,"prices":[],"token":null,"refresh_token":null,"secret":null,"cart_id":null,"discount_code":null}},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basketEvents":{"eventsByProducts":{},"lastAddedProducts":null,"lastRemovedProducts":null},"catalogCategoryProducts":{"error":null,"status":{"isError":false,"isInit":true,"isPending":false,"isSuccess":false,"isServer":false}},"catalogCurrentCategory":null,"catalogStructure":{"error":null,"payload":{"39":{"id":39,"title":"Лекарства","url":"/catalog/39-lekarstva/","parent":null,"order":1,"empty":false},"40":{"id":40,"title":"Прочие 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